Healthcare Provider Details

I. General information

NPI: 1285289165
Provider Name (Legal Business Name): COMFORT HANDS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2019
Last Update Date: 08/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2448 OLIVET CEMETARY RD
MULLINS SC
29574-5691
US

IV. Provider business mailing address

2448 OLIVET CEMETARY RD
MULLINS SC
29574-5691
US

V. Phone/Fax

Practice location:
  • Phone: 240-472-8400
  • Fax:
Mailing address:
  • Phone: 240-472-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. TIWANA MORRIS
Title or Position: OWNER
Credential:
Phone: 240-472-8400